No abstract

BACKGROUND: Spasticity can worsen in winter and result in additional functional impairment. OBJECTIVE: This study examined the perceived differences in, and barriers to duration and types of outdoor activities performed in winter and summer in adults with spasticity. METHODS: Thirty adults with spasticity completed a phone questionnaire, which explored the types and durations of outdoor activities between summer and winter. Data were analyzed quantitatively and qualitatively. RESULTS: Time spent outdoors was four times greater in summer (p<0.01) with participants reporting spending an average of 227 minutes/day, compared to 62 minutes/day in winter. Duration of lifeenhancing activities in winter was reduced. The amount of time spent outdoors in winter was negatively correlated with upper extremity spasticity (r =-0.39, p<0.05). Furthermore, social, structural, and service barriers reduced the duration of outdoor activities regardless of season. CONCLUSIONS: Particular emphasis should be placed on management of spasticity, education, and advocacy for individuals with spasticity to enhance outdoor activity engagement during the winter.